Workers' Compensation Advisor

Air Canada•Toronto, ON

About The Position

Working as part of the Disability Management team, the purpose of this role is to oversee and manage Workers’ Compensation claims & appeals related employee occupational injury and illness. The role focuses on ensuring all employees are supported with care & class throughout the duration of their occupational injury or illness absence, while applying consistent and integral practices to facilitate employee recovery and return to safe & sustainable employment.

Requirements

Minimum of three (3) years direct disability case management experience with a workers’ compensation board or handling of workers’ compensation claims
Strong analytical and critical decision-making skills
Mature initiative-taker with ability to work with minimum supervision
Excellent oral and written communication skills
Ability to build and sustain meaningful relationships with internal and external partners
Strong focus, task oriented, non-judgmental and understand clear boundaries/scope of practice
Demonstrated ability to motivate others
High level of computer skills, including keyboarding, navigation, data entry and experience with Microsoft Office products
Experience using a HRIS and claim management systems
Working knowledge of relevant policies, legislations and principles related to workers' compensation and accommodations
Bilingual (English and French)

Nice To Haves

Experience of the aviation industry and its operations an asset
National Institute of Disability Management and Research (NIDMAR) Certification is considered an asset

Responsibilities

Review, investigate and gather all relevant information to validate each new occupational injury/illness claim and report to appropriate provincial WCB within regulated reporting timelines.
Assertive ownership of assigned workers’ compensation claims from the onset to closure of the claim. Including cost analysis and oversight.
Champion stay at work options to mitigate claim costs and reduce lost time days.
Communicate regularly to employees, managers, and WCB to assist in progressing claim, monitoring treatment plans, and determine return to work opportunities.
Strategically develop a clear action plan for managing each claim, including communication touch points and dedicated follow-ups.
Challenge claims using WCB policies and legislation, based on concerns about validity, status, and/or duration via intent to object forms, reconsideration requests, and medical reviews.
Initiate and represent Air Canada in secondary or reconsideration reviews, appeals and medical arbitration within legislative deadlines at Provincial Tribunals and Appeal Commissions.
Understand, analyze, mitigate, and challenge claim costs where necessary on each claim from loss of earnings, treatments plans, and other related services and fees.
Initiate and support the reversal of erroneous claim costs.
Manage claims ethically and in strict adherence compliance with all privacy laws, all other relevant laws, policies, and agreements.
Thoroughly investigate, understand, and provide all necessary information to workers’ compensation boards and/or disability insurance providers to enable them to make accurate and informed decisions on each claim based on operational policies and stakeholder concerns.
Proactively collaborate with all Air Canada departments, insurance providers (as applicable), and workers’ compensation boards to orchestrate, implement and expedite early and safe return to work, prioritizing employee welfare and safety.
Subject matter expertise on WCB operational policy and legislation.
Other duties as assigned by Manager, Disability Management.
Maintain an orderly claims portfolio with accurate data, up-to-date files, and caseload reports that accurately reflect the status of each claim.
Duty to Accommodate subject matter expertise and applied knowledge in each return-to-work planning.
Gather and evaluate standard medical guidelines determined by WCB and current medical restrictions.
Collaborate with the RTW Advisor and all relevant stakeholders to support early return to work opportunities and strategies that are unique to each claim, to develop return to work plans to ensure an employee is returned to work in their own or accommodated role, either temporary or long-term.
Ability to identify, solve and manage non-medical barriers.
Prioritize Stay at Work opportunities by working closely with Air Canada stakeholders to remove return to work barriers.
Provide support and education on Air Canada Workers’ Compensation practices to internal and external stakeholders.